Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Gift | $249.00 | 1 | 88.4% |
| Food and Beverage | $32.72 | 2 | 11.6% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Eko Devices, Inc. | $249.00 | 1 | $0 (2020) |
| Inspire Medical Systems, Inc. | $18.87 | 1 | $0 (2023) |
| GlaxoSmithKline, LLC. | $13.85 | 1 | $0 (2017) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2023 | $18.87 | 1 | Inspire Medical Systems, Inc. ($18.87) |
| 2020 | $249.00 | 1 | Eko Devices, Inc. ($249.00) |
| 2017 | $13.85 | 1 | GlaxoSmithKline, LLC. ($13.85) |
All Payment Transactions
3 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 05/25/2023 | Inspire Medical Systems, Inc. | INSPIRE (Device) | Food and Beverage | In-kind items and services | $18.87 | General |
| Category: NEUROLOGY | ||||||
| 03/30/2020 | Eko Devices, Inc. | — | Gift | In-kind items and services | $249.00 | General |
| 12/14/2017 | GlaxoSmithKline, LLC. | SHINGRIX (Drug) | Food and Beverage | In-kind items and services | $13.85 | General |
| Category: VACCINES | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 28 | 2,705 | 4,843 | $541,065 | $322,490 |
| 2022 | 22 | 1,839 | 3,332 | $332,779 | $206,471 |
| 2021 | 19 | 1,137 | 2,612 | $214,451 | $132,809 |
| 2020 | 17 | 1,022 | 2,428 | $191,331 | $114,108 |
All Medicare Procedures & Services
86 procedure records from CMS Medicare Utilization — Page 1 of 4
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2023 | 420 | 420 | $78,540 | $56,809 | 72.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 345 | 567 | $99,225 | $51,784 | 52.2% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 403 | 695 | $104,250 | $45,371 | 43.5% |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office | 2023 | 82 | 696 | $49,185 | $33,218 | 67.5% |
| 99497 | Advance care planning, first 30 minutes | Office | 2023 | 369 | 371 | $37,100 | $30,579 | 82.4% |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | Office | 2023 | 73 | 567 | $34,020 | $22,246 | 65.4% |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | Office | 2023 | 71 | 494 | $37,050 | $20,663 | 55.8% |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | Office | 2023 | 148 | 149 | $11,820 | $11,230 | 95.0% |
| 99496 | Transitional care management services for problem of high complexity | Office | 2023 | 35 | 40 | $12,800 | $8,764 | 68.5% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 102 | 102 | $17,850 | $6,360 | 35.6% |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | Office | 2023 | 40 | 40 | $6,150 | $6,016 | 97.8% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 44 | 44 | $10,780 | $5,306 | 49.2% |
| G0008 | Administration of influenza virus vaccine | Office | 2023 | 150 | 151 | $5,285 | $4,861 | 92.0% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 29 | 29 | $8,990 | $4,608 | 51.3% |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | Office | 2023 | 18 | 18 | $3,420 | $3,104 | 90.8% |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | Office | 2023 | 36 | 39 | $3,900 | $1,961 | 50.3% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 14 | 14 | $3,010 | $1,935 | 64.3% |
| 17000 | Destruction of precancer skin growth, 1 growth | Office | 2023 | 27 | 29 | $3,190 | $1,525 | 47.8% |
| G0009 | Administration of pneumococcal vaccine | Office | 2023 | 42 | 42 | $1,344 | $1,317 | 98.0% |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Office | 2023 | 80 | 88 | $4,224 | $945.36 | 22.4% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 19 | 20 | $2,000 | $808.18 | 40.4% |
| 69210 | Removal of impacted ear wax | Office | 2023 | 16 | 19 | $2,090 | $748.79 | 35.8% |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | Office | 2023 | 20 | 42 | $1,260 | $681.24 | 54.1% |
| G0444 | Annual depression screening, 5 to 15 minutes | Office | 2023 | 31 | 31 | $682.00 | $612.87 | 89.9% |
| 99453 | Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | Office | 2023 | 21 | 22 | $770.00 | $299.88 | 38.9% |
About Dr. Mark Vaughan, M.D
Dr. Mark Vaughan, M.D is a General Practice healthcare provider based in Auburn, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/22/2005. The National Provider Identifier (NPI) number assigned to this provider is 1053303461.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Mark Vaughan, M.D has received a total of $281.72 in payments from pharmaceutical and medical device companies, with $18.87 received in 2023. These payments were reported across 3 transactions from 3 companies. The most common payment nature is "Gift" ($249.00).
As a Medicare-enrolled provider, Vaughan has provided services to 6,703 Medicare beneficiaries, totaling 13,215 services with total Medicare billing of $775,878. Data is available for 4 years (2020–2023), covering 86 distinct procedure/service records.
Practice Information
- Specialty General Practice
- Location Auburn, CA
- Active Since 08/22/2005
- Last Updated 06/02/2010
- Taxonomy Code 208D00000X
- Entity Type Individual
- NPI Number 1053303461
Products in Payments
- INSPIRE (Device) $18.87
- SHINGRIX (Drug) $13.85
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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